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Surgical synovectomy of the knee in young haemophiliacs: long-term results of a monocentric series of 23 patients

  • Original Clinical Article
  • Published:
Journal of Children's Orthopaedics

Abstract

Background

In haemophiliacs, synovectomy is indicated for recurrent joint bleedings, despite medical treatment.

Method

We report a series of 23 surgical synovectomies of the knee with a median follow-up of 8.8 years. The median age of patients at surgery was 13.5 years. Clinical and radiological evaluations were made according to the Petrini and the Pettersson scores, at 1 and 5 years after surgery, and at the last follow-up. Wilcoxon and Spearman’s tests were used for the statistical analysis.

Result

The Petrini score improved at 1 and 5 years (P < 0.001). Nine patients have 20 years of follow-up and a stable result. In more than half of the knees, no episode of recurrent bleeding occurred. The effect of surgery on the range of motion (ROM) was moderate and mobilisation under anaesthesia did not improve it significantly. There was a progressive worsening of the radiological score, but no correlation between clinical and radiological score was noticed (ρ = 0.08, P = 0.77).

Conclusion

Complete synovectomy gives good long-term results in term of bleeding recurrence and overall function.

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Authors and Affiliations

  1. Service d’Orthopédie Pédiatrique, Hôpital de l’Archet, Université Nice Sophia Antipolis, 151 Rte de Saint Antoine de Ginestière, 06202, Nice, France

    Virginie Rampal

  2. Service d’Orthopédie Pédiatrique, Hôpital Necker, Université Paris Descartes, 149 rue de Sèvres, 75015, Paris, France

    T. Odent, C. Glorion & J. P. Padovani

  3. Centre d’Hémophilie, Hôpital Necker, Université Paris Descartes, 149 rue de Sèvres, 75015, Paris, France

    M. F. Torchet & C. Rothschild

  4. Service de Santé Publique et Médecine Sociale, Hôpital Necker, Université Paris Descartes, 149 rue de Sèvres, 75015, Paris, France

    C. Elie

Authors
  1. Virginie Rampal
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  2. T. Odent
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  3. M. F. Torchet
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  4. C. Rothschild
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  5. C. Elie
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  6. C. Glorion
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  7. J. P. Padovani
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Correspondence to Virginie Rampal.

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Rampal, V., Odent, T., Torchet, M.F. et al. Surgical synovectomy of the knee in young haemophiliacs: long-term results of a monocentric series of 23 patients. J Child Orthop 4, 33–37 (2010). https://doi.org/10.1007/s11832-009-0229-y

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  • DOI: https://doi.org/10.1007/s11832-009-0229-y

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